@layout("/common/_container.html"){
<div class="ibox float-e-margins">
    <div class="ibox-content">
        <div class="form-horizontal">

            <input type="hidden" id="id" value="">

            <div class="row">
                <div class="col-sm-6 b-r">
                            <#input id="bankCardId" name="自增ID" underline="true"/>
                            <#input id="agentId" name="代理公司ID" underline="true"/>
                            <#input id="provinceId" name="省id" underline="true"/>
                            <#input id="cityId" name="市id" underline="true"/>
                            <#input id="areaId" name="区县id" underline="true"/>
                            <#input id="bankId" name="银行ID" underline="true"/>
                            <#input id="accArea" name="开户行"/>
                </div>

                <div class="col-sm-6">
                            <#input id="accNo" name="银行卡号" underline="true"/>
                            <#input id="accUser" name="持卡人" underline="true"/>
                            <#input id="IDnumber" name="身份证号" underline="true"/>
                            <#input id="phone" name="银行预留电话号码" underline="true"/>
                            <#input id="dataFlag" name="有效标志" underline="true"/>
                            <#input id="createTime" name="创建时间" underline="true"/>
                </div>
            </div>

            <div class="row btn-group-m-t">
                <div class="col-sm-10">
                    <#button btnCss="info" name="提交" id="ensure" icon="fa-check" clickFun="AgentsBankcardsInfoDlg.addSubmit()"/>
                    <#button btnCss="danger" name="取消" id="cancel" icon="fa-eraser" clickFun="AgentsBankcardsInfoDlg.close()"/>
                </div>
            </div>
        </div>

    </div>
</div>
<script src="${ctxPath}/static/modular/huamao/agentsBankcards/agentsBankcards_info.js"></script>
@}
